NPI | 1922757145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023458) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CO RN95168148) |
Enumeration Date | 2022-03-23 |
Last Update Date | 2023-05-30 |